Ms Kelley Anne Brown, MA, LPC, LAC in Boulder, CO

Ms Kelley Anne Brown, MA, LPC, LAC is a medicare enrolled "Counselor - Mental Health" provider in Boulder, Colorado. Her current practice location is 100 Arapahoe Ave, Suite 7, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (508) 240-4705.

Ms Kelley Anne Brown is licensed to practice in Colorado (license number 0013144) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710113394.

Contact Information

	Ms Kelley Anne Brown, MA, LPC, LAC
	100 Arapahoe Ave, Suite 7, Boulder, CO 80302-5854
	(508) 240-4705
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelley Anne Brown
Gender	Female
Speciality	Counselor - Mental Health
Location	100 Arapahoe Ave, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710113394
Provider Enumeration Date: 06/09/2009
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 8729503750
Enrollment ID: I20250422002740

Medical Identifiers

Medical identifiers for Ms Kelley Anne Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710113394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	005933-3 (New York)	Secondary
101YM0800X	Counselor - Mental Health	7970 (Massachusetts)	Secondary
101YM0800X	Counselor - Mental Health	8192 (Connecticut)	Secondary
101YM0800X	Counselor - Mental Health	0013144 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelley Anne Brown allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelley Anne Brown is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kelley Anne Brown, MA, LPC, LAC 8645 Gold Peak Pl Unit E, Highlands Ranch, CO 80130-7193 Ph: (720) 215-5908	Ms Kelley Anne Brown, MA, LPC, LAC 100 Arapahoe Ave, Suite 7, Boulder, CO 80302-5854 Ph: (508) 240-4705

Reviews and Comments

Counselor in Boulder, CO

Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173
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Guilherme Zavaschi, Counselor Medicare: Medicare Enrolled Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500
Amanda Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999

Ms Kelley Anne Brown, MA, LPC, LAC - Medicare Counselor in Boulder, CO